Individual
DR. KELLY GAIL KINNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1700 HIGHWAY 25 N, BUFFALO, MN 55313-1930
(763) 682-1313
Mailing address
1700 HIGHWAY 25 N, BUFFALO, MN 55313-1930
(763) 682-1313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47793
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080016114
MEDICARE-WPS
MN
01
—
094H0SW
BCBS OF MN
MN
01
—
1014268
PREFERRED ONE
MN
05
—
176473000
—
MN
01
—
2435604
AMERICA'S PPO
MN
01
—
6609467
MEDICA UC# FOR APC
MN
01
—
HP61506
HEALTHPARTNERS
MN
Enumeration date
05/16/2006
Last updated
09/29/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us